University Journal of Surgery and Surgical Specialities
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Four Flap Rhytidectomy Approach for the treatment of Dislocated Sub Condylar Fractures of Mandible
Abstract
To analyze the outcome of modified
rhytidectomy approach through four flaps
for the ORIF of displaced Subcondylar
fractures of the mandible. 14 cadaveric
specimens studied for facial nerve anatomy
10 clinical cases with dislocated sub
condylar fractures operated through four
flap rhytidectomy approach. The morbidity
of neuropraxic facial palsy is significantly
less when compared to the benefit
of open access and anatomical reduction
of these fractures. This approach goes a
long way in reducing morbidity in the
form of TM joint arthritis and internal derangement
of the joint. This surgical approach
is useful for ORIF of fractures in
the condyle, subcondyle and upper ramus
regions of mandible through skin
flap, SMAS flap, Glandular flap and
pterygomasseteric sling flap.
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